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Alopecia in women.
1Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA. thiedkcc@musc.edu
American Family Physician
|March 20, 2003
Summary
This review covers various types of alopecia, or hair loss, in women, including androgenetic alopecia and alopecia areata. Diagnosis involves history, examination, and sometimes tests or biopsy, with treatments like minoxidil and corticosteroids available.
Area of Science:
- Dermatology
- Trichology
Background:
- Alopecia encompasses hair follicle disorders with abnormal growth cycles or damage.
- Androgenetic alopecia is the most prevalent cause of hair loss in women.
- Other conditions include alopecia areata, telogen effluvium, cicatricial alopecia, and traumatic alopecias.
Purpose of the Study:
- To review the classification, diagnosis, and management of common alopecia types in women.
- To highlight the importance of considering psychologic effects in alopecia management.
Main Methods:
- Diagnosis relies on comprehensive patient history and physical examination.
- Laboratory tests and punch biopsy may be utilized for specific cases.
- Review of established and common treatment modalities.
Main Results:
- Topical minoxidil is approved for androgenetic alopecia in women.
- Corticosteroids and other agents are standard for alopecia areata.
- Telogen effluvium is frequently self-limiting.
Conclusions:
- Effective management of alopecia in women requires accurate diagnosis and tailored treatment.
- Addressing the significant psychologic impact of hair loss is crucial for holistic patient care.